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1.
J Endocrinol Invest ; 47(9): 2201-2212, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38498228

RESUMO

PURPOSE: Overt hypothyroidism during pregnancy is linked to various obstetric complications, such as premature birth and fetal death. While some studies have shown that maternal hypothyroidism can impact a child's Intelligence Quotient (IQ) and language development, findings are controversial. The aim of this study was to explore the connection between treated maternal hypothyroidism during pregnancy and offspring neurodevelopment, focusing on learning and language and examining related maternal obstetric complications. METHODS: Group 1 included 31 hypothyroid women with elevated thyroid stimulating hormone (TSH) (> 10 mU/L, > 10 µIU/mL) during pregnancy, and Group 2 had 21 euthyroid women with normal TSH levels (0.5-2.5 mU/L, 0.5-2.5 µIU/mL). Children underwent neuropsycological assessments using the Griffiths-II scale. RESULTS: Pregnancy outcome showed an average gestational age at delivery of 38.2 weeks for hypothyroid women, compared to 40 weeks for controls, and average birth weight of 2855.6 g versus 3285 g for controls, with hypothyroid women having children with higher intrauterine growth restriction (IUGR) prevalence and more caesarean sections. The 1-min APGAR score was lower for the hypothyroid group's children, at 8.85 versus 9.52. Neuropsychological outcomes showed children of hypothyroid mothers scored lower in neurocognitive development, particularly in the learning and language subscale (subscale C), with a notable correlation between higher maternal TSH levels and lower subscale scores. CONCLUSION: Fetuses born to hypothyroid mothers appeared to be at higher risk of IUGR and reduced APGAR score at birth. Neurocognitive development seemed to affect language performance more than the developmental quotient. This alteration appeared to correlate with the severity of hypothyroidism and its duration.


Assuntos
Hipotireoidismo , Desenvolvimento da Linguagem , Complicações na Gravidez , Humanos , Feminino , Gravidez , Hipotireoidismo/epidemiologia , Hipotireoidismo/complicações , Complicações na Gravidez/epidemiologia , Adulto , Efeitos Tardios da Exposição Pré-Natal/etiologia , Resultado da Gravidez/epidemiologia , Masculino , Recém-Nascido , Estudos de Casos e Controles , Criança , Pré-Escolar
2.
Sci Rep ; 13(1): 21257, 2023 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-38040772

RESUMO

Climate change is rapidly altering weather patterns, resulting in shifts in climatic zones. The survival of trees in specific locations depends on their functional traits. Local populations exhibit trait adaptations that ensure their survival and accomplishment of growth and reproduction processes during the growing season. Studying these traits offers valuable insights into species responses to present and future environmental conditions, aiding the implementation of measures to ensure forest resilience and productivity. This study investigates the variability in functional traits among five black spruce (Picea mariana (Mill.) B.S.P.) provenances originating from a latitudinal gradient along the boreal forest, and planted in a common garden in Quebec, Canada. We examined differences in bud phenology, growth performance, lifetime first reproduction, and the impact of a late-frost event on tree growth and phenological adjustments. The findings revealed that trees from northern sites exhibit earlier budbreak, lower growth increments, and reach reproductive maturity earlier than those from southern sites. Late-frost damage affected growth performance, but no phenological adjustment was observed in the successive year. Local adaptation in the functional traits may lead to maladaptation of black spruce under future climate conditions or serve as a potent evolutionary force promoting rapid adaptation under changing environmental conditions.


Assuntos
Picea , Picea/fisiologia , Canadá , Quebeque , Florestas , Árvores , Alocação de Recursos
3.
J Eur Acad Dermatol Venereol ; 36(8): 1342-1348, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35470920

RESUMO

BACKGROUND: Reactivation of the varicella-zoster virus (VZV), which causes herpes zoster (HZ, synonym: shingles) in humans, can be a rare adverse reaction to vaccines. Recently, reports of cases after COVID-19 vaccination have arisen. OBJECTIVES: The aim of this study was to assess whether the frequency of HZ is found to increase after COVID-19 vaccination in a large cohort, based on real-world data. As a hypothesis, the incidence of HZ was assumed to be significantly higher in subjects who received a COVID-19 vaccine (Cohort I) vs. unvaccinated individuals (Cohort II). METHODS: The initial cohorts of 1 095 086 vaccinated and 16 966 018 unvaccinated patients were retrieved from the TriNetX database and were matched on age and gender in order to mitigate confounder bias. RESULTS: After matching, each cohort accounted for 1 095 086 patients. For the vaccinated group (Cohort I), 2204 subjects developed HZ within 60 days of COVID-19 vaccination, while among Cohort II, 1223 patients were diagnosed with HZ within 60 days after having visited the clinic for any other reason (i.e. not vaccination). The risk of developing shingles was calculated as 0.20% and 0.11% for cohort I and cohort II, respectively. The difference was statistically highly significant (P < 0.0001; log-rank test). The risk ratio and odds ratio were 1.802 (95% confidence interval [CI] = 1.680; 1.932) and 1.804 (95% CI = 1.682; 1.934). CONCLUSIONS: Consistent with the hypothesis, a higher incidence of HZ was statistically detectable post-COVID-19 vaccine. Accordingly, the eruption of HZ may be a rare adverse drug reaction to COVID-19 vaccines. Even though the molecular basis of VZV reactivation remains murky, temporary compromising of VZV-specific T-cell-mediated immunity may play a mechanistic role in post-vaccination pathogenesis of HZ. Note that VZV reactivation is a well-established phenomenon both with infections and with other vaccines (i.e. this adverse event is not COVID-19-specific).


Assuntos
Vacinas contra COVID-19 , COVID-19 , Herpes Zoster , Herpesvirus Humano 3 , Ativação Viral , COVID-19/prevenção & controle , Vacinas contra COVID-19/efeitos adversos , Herpes Zoster/epidemiologia , Herpes Zoster/etiologia , Herpesvirus Humano 3/fisiologia , Humanos , Vacinação/efeitos adversos
4.
Infect Dis Now ; 52(3): 138-144, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35149235

RESUMO

OBJECTIVES: Diagnosis of COVID-19 is essential to prevent the spread of SARS-CoV-2. Nasopharyngeal swabs (NPS) remain the gold standard in screening, although associated with false negative results (up to 30%). We developed a 3D simulator of the nasal and pharyngeal cavities for the learning and improvement of NPS collection. PATIENTS AND METHODS: Simulator training sessions were carried out in 11 centers in France. A questionnaire assessing the simulator was administered at the end of the sessions. The study population included both healthcare workers (HCW) and volunteers from the general population. RESULTS: Out of 589 participants, overall satisfaction was scored 9.0 [8.9-9.1] on a scale of 0 to 10 with excellent results in the 16 evaluation items of each category (HCWs and general population, NPS novices and experienced). The simulator was considered very realistic (95%), easy to use (97%), useful to understand the anatomy (89%) and NPS sampling technique (93%). This educational tool was considered essential (93%). Participants felt their future NPS would be more reliable (72%), less painful (70%), easier to perform (88%) and that they would be carried out more serenely (90%). The mean number of NPS conducted on the simulator to feel at ease was two; technical fluency with the simulator can thus be acquired quickly. CONCLUSION: Our simulator, whose 3D printing can be reproduced freely using a permanent open access link, is an essential educational tool to standardize the learning and improvement of NPS collection. It should enhance virus detection and thus contribute to better pandemic control.


Assuntos
Teste para COVID-19/métodos , COVID-19 , Impressão Tridimensional , COVID-19/diagnóstico , Teste para COVID-19/instrumentação , Humanos , Nasofaringe , SARS-CoV-2
5.
Br J Pharmacol ; 173(24): 3443-3453, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27515367

RESUMO

BACKGROUND AND PURPOSE: Liraglutide improves the metabolic control of diabetic animals after islet transplantation. However, the mechanisms underlying this effect remain unknown. The objective of this study was to evaluate the anti-inflammatory and anti-oxidative properties of liraglutide on rat pancreatic islets in vitro and in vivo. EXPERIMENTAL APPROACH: In vitro, rat islets were incubated with 10 µmol·L-1 liraglutide for 12 and 24 h. Islet viability functionality was assessed. The anti-inflammatory properties of liraglutide were evaluated by measuring CCL2, IL-6 and IL-10 secretion and macrophage chemotaxis. The anti-oxidative effect of liraglutide was evaluated by measuring intracellular ROS and the total anti-oxidative capacity. In vivo, 1000 islets were cultured for 24 h with or without liraglutide and then transplanted into the liver of streptozotocin-induced diabetic Lewis rats with or without injections of liraglutide. Effects of liraglutide on metabolic control were evaluated for 1 month. KEY RESULTS: Islet viability and function were preserved and enhanced with liraglutide treatment. Liraglutide decreased CCL2 and IL-6 secretion and macrophage activation after 12 h of culture, while IL-10 secretion was unchanged. However, intracellular levels of ROS were increased with liraglutide treatment at 12 h. This result was correlated with an increase of anti-oxidative capacity. In vivo, liraglutide decreased macrophage infiltration and reduced fasting blood glucose in transplanted rats. CONCLUSIONS AND IMPLICATIONS: The beneficial effects of liraglutide on pancreatic islets appear to be linked to its anti-inflammatory and anti-oxidative properties. These findings indicated that analogues of glucagon-like peptide-1 could be used to improve graft survival.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Inflamação/tratamento farmacológico , Transplante das Ilhotas Pancreáticas , Ilhotas Pancreáticas/efeitos dos fármacos , Liraglutida/farmacologia , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Relação Dose-Resposta a Droga , Ilhotas Pancreáticas/citologia , Ilhotas Pancreáticas/metabolismo , Liraglutida/administração & dosagem , Masculino , Estresse Oxidativo/efeitos dos fármacos , Ratos , Ratos Endogâmicos Lew , Ratos Wistar , Espécies Reativas de Oxigênio/metabolismo , Relação Estrutura-Atividade
6.
J Diabetes Res ; 2016: 8310516, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27504460

RESUMO

Exogenous insulin is the only treatment available for type 1 diabetic patients and is mostly administered by subcutaneous (SC) injection in a basal and bolus scheme using insulin pens (injection) or pumps (preimplanted SC catheter). Some divergence exists between these two modes of administration, since pumps provide better glycaemic control compared to injections in humans. The aim of this study was to compare the impacts of two modes of insulin administration (single injections of long-acting insulin or pump delivery of rapid-acting insulin) at the same dosage (4 IU/200 g/day) on rat metabolism and tissues. The rat weight and blood glucose levels were measured periodically after treatment. Immunostaining for signs of oxidative stress and for macrophages was performed on the liver and omental tissues. The continuous insulin delivery by pumps restored normoglycaemia, which induced the reduction of both reactive oxygen species and macrophage infiltration into the liver and omentum. Injections controlled the glucose levels for only a short period of time and therefore tissue stress and inflammation were elevated. In conclusion, the insulin administration mode has a crucial impact on rat metabolic parameters, which has to be taken into account when studies are designed.


Assuntos
Glicemia/efeitos dos fármacos , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Tipo 1/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Insulina Glargina/administração & dosagem , Insulina/administração & dosagem , Fígado/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Omento/efeitos dos fármacos , Animais , Glicemia/metabolismo , Peso Corporal , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Tipo 1/metabolismo , Hipoglicemiantes/farmacologia , Insulina/farmacologia , Insulina Glargina/farmacologia , Sistemas de Infusão de Insulina , Fígado/citologia , Macrófagos/citologia , Masculino , Omento/citologia , Ratos , Ratos Endogâmicos Lew , Espécies Reativas de Oxigênio/metabolismo
7.
J Diabetes Res ; 2016: 3615286, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26824040

RESUMO

In bioartificial pancreases (BP), the number of islets needed to restore normoglycaemia in the diabetic patient is critical. However, the confinement of a high quantity of islets in a limited space may impact islet survival, particularly in regard to the low oxygen partial pressure (PO2) in such environments. The aim of the present study was to evaluate the impact of islet number in a confined space under hypoxia on cell survival. Rat islets were seeded at three different concentrations (150, 300, and 600 Islet Equivalents (IEQ)/cm(2)) and cultured in normal atmospheric pressure (160 mmHg) as well as hypoxic conditions (15 mmHg) for 24 hours. Cell viability, function, hypoxia-induced changes in gene expression, and cytokine secretion were then assessed. Notably, hypoxia appeared to induce a decrease in viability and increasing islet density exacerbated the observed increase in cellular apoptosis as well as the loss of function. These changes were also associated with an increase in inflammatory gene transcription. Taken together, these data indicate that when a high number of islets are confined to a small space under hypoxia, cell viability and function are significantly impacted. Thus, in order to improve islet survival in this environment during transplantation, oxygenation is of critical importance.


Assuntos
Ilhotas Pancreáticas/metabolismo , Oxigênio/metabolismo , Animais , Apoptose , Pressão Atmosférica , Hipóxia Celular , Sobrevivência Celular , Citocinas/genética , Citocinas/metabolismo , Regulação da Expressão Gênica , Subunidade alfa do Fator 1 Induzível por Hipóxia/genética , Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Mediadores da Inflamação/metabolismo , Ilhotas Pancreáticas/patologia , Masculino , Ratos Wistar , Fatores de Tempo , Técnicas de Cultura de Tecidos
8.
Int J Pharm ; 491(1-2): 402-8, 2015 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-26049075

RESUMO

Insulin delivery by oral route would be ideal, but has no effect, due to the harsh conditions of the gastrointestinal tract. Protection of insulin using encapsulation in self-assembled particles is a promising approach. However, the lack of stability of this kind of particles in biological environments induces a low bioavailability of encapsulated insulin after oral administration. The objective of this work was to evaluate the effect of two stabilisation strategies alone or combined, freeze-drying and cross-linking, on insulin-loaded chitosan NPs, and to determine their bioefficiency in vitro and in vivo. NPs were prepared by complex coacervation between insulin and chitosan, stabilised either by cross linking with sodium tripolyphosphate solution (TPP), by freeze-drying or both treatments. In vitro bioefficiency NP uptake was evaluated by flow cytometry on epithelial models (Caco-2/RevHT29MTX (mucus secreting cells)). In vivo, NPs were injected via catheter in the peritoneum or duodenum on insulinopenic rats. Freeze-drying increased in size and charge (+15% vs control 412 ± 7 nm; + 36 ± 0.3 mV) in comparison with cross linking which decreased NP size (-25%) without impacting the NP charge. When combined the consecutive treatments reduced NPs size and increased charges as compared to standard level. Freeze drying is necessary to prevent the destruction of NP in intestinal environment in comparison with no freeze dryed one where 60% of NP were destroyed after 2h. Additionally freeze drying combined with cross linking treatments improved bioefficiency of NP with uptake in cell increased when mucus is present. Combination of both treatment showed a protection of insulin in vivo, with a reduction of glycemia when NPs were administrated. This work showed that the combination of freeze drying and cross linking treatment is necessary to stabilize (freeze-drying) and increase bioefficiency (cross-linking) of self assembled NP in the delivery of insulin in vitro and in vivo.


Assuntos
Quitosana/química , Insulina/administração & dosagem , Nanopartículas/química , Animais , Glicemia/metabolismo , Células CACO-2 , Química Farmacêutica , Reagentes de Ligações Cruzadas , Sistemas de Liberação de Medicamentos , Desenho de Fármacos , Estabilidade de Medicamentos , Excipientes , Liofilização , Humanos , Insulina/química , Insulina/farmacologia , Masculino , Muco/metabolismo , Ratos , Ratos Wistar
9.
Biomaterials ; 52: 180-8, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25818424

RESUMO

Disruption of the pancreatic islet environment combined with the decrease in oxygen supply that occurs during isolation leads to poor islet survival. The aim of this study was to validate the benefit of using a plasma-based scaffold supplemented with perfluorodecalin to improve islet transplantation outcome. Rat islets were cultured in three conditions: i) control group, ii) plasma based-matrix (P-matrix), and iii) P-matrix supplemented with emulsified perfluorodecalin. After 24 h culture, matrix/cell contacts (Integrinß1, p-FAK/FAK, p-Akt/Akt), survival (caspase 3, TUNEL, FDA/PI), function, and HIF-1α translocation were assessed. Afterwards, P-matrices were dissolved and the islets were intraportally transplanted. Graft function was monitored for 31 days with glycaemia and C-peptide follow up. Inflammation was assessed by histology (macrophage and granulocyte staining) and thrombin/anti-thrombin complex measurement. Islet survival correlated with an increase in integrin, FAK, and Akt activation in P-matrices and function was maintained. Perfluorodecalin supplementation decreased translocation of HIF-1α in the nucleus and post-transplantation islet structure was better preserved in P-matrices, but a quicker activation of IBMIR resulted in early loss of graft function. "Oxygenating" P-matrices provided a real benefit to islet survival and resistance in vivo. However, intraportal transplantation is not suitable for this kind of culture due to IBMIR; thus, alternative sites must be explored.


Assuntos
Técnicas de Cultura de Células/métodos , Transplante das Ilhotas Pancreáticas/métodos , Ilhotas Pancreáticas/citologia , Oxigênio/metabolismo , Animais , Hipóxia Celular , Sobrevivência Celular , Células Cultivadas , Fluorocarbonos/metabolismo , Sobrevivência de Enxerto , Ilhotas Pancreáticas/metabolismo , Ilhotas Pancreáticas/ultraestrutura , Masculino , Ratos , Ratos Endogâmicos Lew , Ratos Wistar
10.
Colloids Surf B Biointerfaces ; 94: 199-205, 2012 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-22341520

RESUMO

The objective of this study was to prepare NS-chitosan microparticles for the delivery of 5-aminosalicylic acid (5-ASA) to the colon. Microparticles can spread out over a large area of colon allowing a more effective local efficacy of 5-ASA. N-Succinyl-chitosan was chosen as carrier system because of its excellent pharmaceutical properties in colon drug targeting such as poor solubility in acid environment, biocompatibility, mucoadhesive properties, and low toxicity. It was prepared by introducing succinic group into chitosan N-terminals of the glucosamine units. 5-ASA loaded NS-chitosan microparticles were prepared using spray-drying. As a control, a matrix obtained by freeze-drying technique was also prepared and tested. Fourier transform infrared (FT-IR), differential scanning calorimetry (DSC) and X-ray diffraction studies show the 5-ASA/NS-chitosan electrostatic interactions in both the systems. Mean size of the microparticles was around 5 µm, zeta potential value of both systems was always negative. Scanning electron microscopy (SEM) images show an acceptable spherical non porous structure of microparticles. In vitro swelling and drug release studies were in accordance with the polymer properties, showing the highest swelling ratio and drug release at pH=7.4 (colonic pH) where microparticles were able to deliver more than 90% of 5-ASA during 24h experiments. Rheological studies are in accordance with the swelling and release studies.


Assuntos
Materiais Biocompatíveis/síntese química , Quitosana/síntese química , Sistemas de Liberação de Medicamentos , Materiais Biocompatíveis/metabolismo , Varredura Diferencial de Calorimetria , Colo/metabolismo , Dessecação , Liofilização , Humanos , Concentração de Íons de Hidrogênio , Cinética , Mesalamina/química , Mesalamina/metabolismo , Microscopia Eletrônica de Varredura , Microesferas , Tamanho da Partícula , Reologia , Solubilidade , Espectroscopia de Infravermelho com Transformada de Fourier , Eletricidade Estática , Molhabilidade , Difração de Raios X
11.
Int J Pharm ; 416(1): 145-54, 2011 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-21723929

RESUMO

5-Aminosalicylic acid (5-ASA) loaded N-Succinyl-chitosan (SucCH) microparticle and freeze-dried system were prepared as potential delivery systems to the colon. Physicochemical characterization and in vitro release and swelling studies were previously assessed and showed that the two formulations appeared to be good candidates to deliver the drug to the colon. In this work the effectiveness of these two systems in the treatment of inflammatory bowel disease was evaluated. In vitro mucoadhesive studies showed excellent mucoadhesive properties of both the systems to the inflamed colonic mucosa. Experimental colitis was induced by rectal instillation of 2,4,6-trinitrobenzene sulfonic acid (TNBS) into male Wistar rats. Colon/body weight ratio, clinical activity score system, myeloperoxidase activity and histological evaluation were determined as inflammatory indices. The two formulations were compared with drug suspension and SucCH suspension. The results showed that the loading of 5-ASA into SucCH polymer markedly improved efficacy in the healing of induced colitis in rats.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Quitosana/química , Colite/tratamento farmacológico , Colo/efeitos dos fármacos , Portadores de Fármacos/uso terapêutico , Sistemas de Liberação de Medicamentos/métodos , Mesalamina/uso terapêutico , Absorção , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/química , Anti-Inflamatórios não Esteroides/farmacocinética , Colite/induzido quimicamente , Colite/metabolismo , Colite/patologia , Colo/metabolismo , Colo/patologia , Modelos Animais de Doenças , Portadores de Fármacos/administração & dosagem , Portadores de Fármacos/química , Portadores de Fármacos/metabolismo , Portadores de Fármacos/farmacocinética , Liofilização/métodos , Mucosa Intestinal/efeitos dos fármacos , Mucosa Intestinal/patologia , Ativação Linfocitária/efeitos dos fármacos , Masculino , Mesalamina/administração & dosagem , Mesalamina/química , Mesalamina/farmacocinética , Tamanho do Órgão/efeitos dos fármacos , Peroxidase/metabolismo , Polímeros/síntese química , Polímeros/química , Polímeros/metabolismo , Polímeros/farmacocinética , Polímeros/uso terapêutico , Ratos , Ratos Wistar , Ácido Trinitrobenzenossulfônico
12.
Rev. chil. neuro-psiquiatr ; 49(1): 37-46, mar. 2011. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-592063

RESUMO

Acromegaly is a chronic disease caused in most cases by hypophysiary adenoma. It is of complex management due to the high variability of the causing lesion and its clinical repercussion. Surgical outcomes are poor with remission rates of 80 percent for microadenomas and 50 percent for macroadenomas. The author's experience in treating 38 patients with this pathology as well as the remission results of the illness and the complications are presented herein. Handling alternatives and associated complications are discussed and a clinical case is presented to show the therapeutical options in more complex cases.


La acromegalia es una enfermedad crónica causada en la mayoría de los casos por un adenoma hipofisario. Su manejo es complejo por la gran variabilidad de la lesión causante y su repercusión clínica. Los resultados quirúrgicos son pobres, con tasas de remisión de la enfermedad en promedio de un 80 por ciento en microadenomas y 50 por ciento en macroadenomas. Se presenta la experiencia del autor en el manejo de esta patología en 38 pacientes, los resultados de remisión de la enfermedad. Se discute las alternativas de manejo, complicaciones asociadas y se ilustra con un caso clínico para demostrar las opciones terapéuticas en los casos más complejos.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Acromegalia/cirurgia , Adenoma Hipofisário Secretor de Hormônio do Crescimento/cirurgia , Equipe de Assistência ao Paciente , Acromegalia/complicações , Adenoma Hipofisário Secretor de Hormônio do Crescimento/complicações , Seguimentos , Indução de Remissão
13.
Rev. Méd. Clín. Condes ; 21(6): 912-919, nov. 2010. ilus
Artigo em Espanhol | LILACS | ID: biblio-999226

RESUMO

La catarata es la primera causa de ceguera en el mundo, responsable de un 48 por ciento de los casos, la mayoría relacionados con la edad y por tanto no existe forma de prevenir su aparición. Teniendo en cuenta el envejecimiento progresivo de nuestra población, sin duda su prevalencia e importancia como problema de salud pública se van a mantener en el tiempo. Con los avances en el estudio preoperatorio, anestesia, instrumental, tecnología de los lentes intraoculares y en la técnica de facoemulsificación, la cirugía ha pasado de ser un procedimiento enfocado a la extracción segura de la catarata, a uno que apunta a alcanzar el mejor resultado refractivo posible, idealmente liberando al paciente del uso de anteojos y con un muy breve tiempo de recuperación. Se describirán los avances más importantes en los aspectos enumerados anteriormente, enfocados a mostrar cómo estos benefician a nuestros pacientes, haciendo de la cirugía actual de la catarata un procedimiento seguro y predecible


Cataract is the first cause of blindness worldwide, responsible of 48 percent of cases. Most of them are age-related, therefore, without possible prevention. Due to our population ageing, its prevalence and importance as a public health problem will persist over time. With the advances in preoperative studies, anesthesia, instrumentation, intraocular lens technology and phacoemulsification technique, cataract surgery has evolved from a procedure mainly focused in a safe cataract extraction to a new one, aiming to reach the best possible refractive outcome, freeing patients of spectacle use with a minimal recovery time. Principal advances related to these topics will be described, showing how these changes benefit our patients, turning cataract surgery into a safe and predictable procedure


Assuntos
Humanos , Extração de Catarata/métodos , Facoemulsificação , Implante de Lente Intraocular
14.
Neuroscience ; 168(1): 156-66, 2010 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-20353810

RESUMO

There is substantial evidence that prenatal exposure to adverse environmental conditions might lead to the psychiatric disorders that can appear in adolescence or in adulthood; vulnerability to drug addiction may increase as well. It is currently accepted that the alteration of catecholamine transmission in the prefrontal cortex plays a prominent role in the etiology of psychiatric disorders. We assessed basal and stimulated dopamine and noradrenaline extracellular concentration in the medial prefrontal cortex by means of microdialysis in awake male adolescent and young adult offspring of rats exposed to restraint stress in the last week of pregnancy. Catecholamine stimulation was obtained by amphetamine or nicotine. We observed that prenatal stress (PNS) did not change dopamine but decreased noradrenaline basal output in both adolescents and adults. Moreover, it decreased amphetamine stimulated dopamine output and increased amphetamine stimulated noradrenaline output. PNS decreased nicotine stimulated noradrenaline (but not dopamine output) in adults, though not in adolescents. These data show that PNS stress modifies prefrontal cortex catecholamine transmission in a complex and age dependent manner. Our results support the view that prenatal stress may be a contributing factor for the development of psychiatric disorders and that its effect may augment drug addiction vulnerability.


Assuntos
Catecolaminas/metabolismo , Córtex Pré-Frontal/metabolismo , Efeitos Tardios da Exposição Pré-Natal/metabolismo , Estresse Psicológico/complicações , Fatores Etários , Anfetamina/farmacologia , Animais , Estimulantes do Sistema Nervoso Central/farmacologia , Dopamina/metabolismo , Espaço Extracelular/metabolismo , Feminino , Masculino , Nicotina/farmacologia , Norepinefrina/metabolismo , Córtex Pré-Frontal/efeitos dos fármacos , Gravidez , Efeitos Tardios da Exposição Pré-Natal/etiologia , Ratos , Ratos Wistar , Restrição Física
15.
Kidney Int ; 69(4): 754-9, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16518331

RESUMO

We have previously shown that, assuming urea distribution volume (V) remains constant for 1 month, ionic dialysance (ID) allows the dialysis dose to be calculated without the need for blood sampling. The aim of this multicenter study was to verify whether the assumption of a constant V can be extended to 1 year. In clinically stable patients receiving thrice-weekly hemodialysis at 13 dialysis centers, V and Kt/V were assessed during three dialysis sessions at baseline and 1 year later using ID as dialyzer urea clearance and the single-pool urea kinetic model. Baseline albumin, hemoglobin, and C reactive protein were prespecified covariates for predicting the change in V over time. Of the 52 enrolled patients, 40 (25 males; age 63.0+/-13.5 years) completed the study. Baseline end-dialysis body weight (62.4+/-13.7 kg) showed a non-significant 1% reduction during follow-up (-0.6+/-2.8 kg; P=0.175), whereas V significantly decreased from 29.0+/-6.8 to 27.4+/-6.0 l (-1.6+/-3.0 l or 4.5%; P=0.002). The reduction in V was greater when baseline albumin was lower (P=0.001) and baseline V was higher (P=0.005). The single-pool K(t)/V calculated using baseline V underestimated the actual value by 0.07+/-0.16 (P=0.008). The slight underestimate of Kt/V during follow-up suggests that annual V evaluations may be sufficient for dialysis dose quantification as the only risk is underestimating the actually delivered dialysis dose. However, the relationship between baseline albumin and the reduction in V over time may have nutritional value, and suggests more frequent V evaluations.


Assuntos
Rim/fisiologia , Diálise Renal , Ureia/urina , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Albuminúria/urina , Peso Corporal , Proteína C-Reativa/urina , Feminino , Seguimentos , Hemoglobinas/análise , Humanos , Estudos Longitudinais , Masculino , Taxa de Depuração Metabólica , Pessoa de Meia-Idade , Estado Nutricional , Valor Preditivo dos Testes , Estudos Prospectivos , Fatores de Tempo
16.
G Ital Nefrol ; 21 Suppl 30: S71-4, 2004.
Artigo em Italiano | MEDLINE | ID: mdl-15747310

RESUMO

Adsorbent therapies have become increasingly popular over the last several years as they permit an additional method to selectively or non-selectively remove toxins. Adsorbents offer a unique removal strategy as they have an extremely high adsorption capacity due to their great surface area. This paper describes experiments that utilized a synthetic divinylbenzene styrenic resin cartridge to remove uremic toxins from chronic renal failure patients. The resin-only cartridge was tested as an alternative after a small number of patients (primarily taking ACE inhibitors) experienced gastrointestinal problems using hemodiafiltration with on-line regeneration (HFR). Subsequent laboratory evidence suggested that the particular carbon used in the cartridge was able to activate contact phase activation. This could potentially cause problems in patients taking ACE inhibitors, as they are unable to degrade bradykinin efficiently. The resin-only cartridge was tested in at 6 centers throughout Italy and included patients that had experienced previous reactions to the carbon-resin cartridge. At the conclusion of the study, no adverse reactions were reported and the cartridge exhibited excellent removal of b2 microglobulin and angiogenin.


Assuntos
Hemodiafiltração/instrumentação , Adulto , Carbono , Humanos , Uremia/metabolismo , Uremia/terapia
17.
J Membr Biol ; 201(3): 157-65, 2004 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-15711775

RESUMO

The Arabidopsis thaliana KAT1, an inward-rectifying potassium channel, shares molecular features with the Shaker family of outward rectifier K(+) channels. The KAT1 amino-acid sequence reveals the presence of a positively charged S4 and a segment containing the TXGYGD signature sequence in the pore (P) region. To test whether the inward-rectifying properties of KAT1 are due to reverse orientation in the membrane, such that the voltage sensor is oriented in the opposite direction of the electric field compared with the Shaker K(+) channel, we have inserted a flag epitope in the NH(2) terminus or the S3-S4 loop. The KAT1 and tagged constructs expressed functional channels in whole cells, Xenopus oocytes and COS-7. The electrophysiological properties of both tagged constructs were similar to those of the wild type. Immunofluorescence with an antibody against the flag epitope and an anti-C terminal KAT1 determined the membrane localization of these epitopes and the orientation of the KAT1 channel in the membrane. Our data confirm that KAT1 in eukaryotic cells has an orientation similar to the Shaker K(+) channel.


Assuntos
Arabidopsis/enzimologia , Membrana Celular/enzimologia , Proteínas de Plantas/metabolismo , Canais de Potássio Corretores do Fluxo de Internalização/metabolismo , Animais , Arabidopsis/genética , Proteínas de Arabidopsis , Células COS , Membrana Celular/química , Membrana Celular/genética , Cricetinae , Oócitos , Proteínas de Plantas/química , Proteínas de Plantas/genética , Canais de Potássio/metabolismo , Canais de Potássio Corretores do Fluxo de Internalização/genética , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Superfamília Shaker de Canais de Potássio , Xenopus
18.
Rev. méd. Chile ; 130(4): 396-401, abr. 2002. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-314921

RESUMO

Background: The diagnosis of acanthamoeba keratitis has increased since 1985 due to the massive use of contact lenses and a better knowledge of the disease by ophthalmologists. The use of biassociated therapy has resulted in a better prognosis and lower complication rate. Aim: To report patients with acanthamoeba keratitis treated with the association of propamidine (Brolene(r)) and polyhexamethylbiguanide (PHMB) 0.02 percent. Patients and methods: Retrospective analysis of 27 patients (31 eyes) with acanthamoeba keratitis (bilateral in four cases), diagnosed by culture, biopsy or characteristic clinical features. Results: Ninety six percent of patients used rigid contact lenses. Acanthamoeba cultures were positive in 71 percent of cases. The delay in the diagnosis was between 1 and 5 months. Early treatment was possible in 29 percent of patients. Infection was erradicated in all cases with the biassociated therapy. A tectonic keratoplasty to treat a trophic perforation was done in eight eyes. No patient required therapeutic keratoplasty to resolve the infection. Visual acuity at the end of follow up was better than 20/40 in nine patients and in eight it was in the range of count fingers or less. Conclusions: In patients with the clinical picture of acanthamoeba keratitis, early or late antiamoebic treatment is warranted even in the absence of positive cultures. The visual results of the treatment are highly dependent on the precocity of treatment. Prevention is imperative and is based on a strict contact lens hygiene


Assuntos
Humanos , Masculino , Feminino , Ceratite por Acanthamoeba , Biguanidas , Acanthamoeba , Lentes de Contato
20.
Aquat Toxicol ; 55(1-2): 35-47, 2001 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-11551620

RESUMO

Metallothionein (MT) genes encode essential metal-binding proteins involved in metallic homeostasis and detoxification in living organisms. Here, we describe the structure of the first Pacific oyster Crassostrea gigas metallothionein (CgMT1) gene and the sequences of two other MT cDNA. The CgMT1 gene sequence contains three coding exons plus a 5' entirely non-coding exon, and the predicted protein contains 21 cysteine residues organized in Cys-X-Cys motifs as classically described for MTs. The three cDNA sequences present few substitutions in either coding sequence or UTRs. Induction of these MT-mRNA in heavy metal-treated oysters (i.e. cadmium) was confirmed by Northern blot analysis and RT-PCR and suggests a potential specific tissue expression rate. Southern blot analysis suggested the presence of multiple CgMT genes, and allowed the detection of restriction fragment length polymorphisms (RFLPs). Although the CgMT1 coding sequence showed 30-73% nucleotide identities with known sequences in other mollusks, it included the specific motif Cys-X-Cys-X(3)-Cys-Thr-Gly-X-X-X-Cys-X-Cys-X(5)-Cys-X-Cys-Lys found in Mollusk family 2. Marine bivalves are commonly used as pollution bioindicators, thus the development of genetic markers based on CgMT1 polymorphism will allow a monitoring of heavy metal exposure in anthropogenically disturbed ecosystems.


Assuntos
DNA Complementar/genética , Metalotioneína/genética , Ostreidae/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Clonagem Molecular , Primers do DNA , DNA Complementar/química , Metalotioneína/química , Dados de Sequência Molecular , Reação em Cadeia da Polimerase
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